Measurement Properties of the NIH-minimal Dataset Dutch Language Version in Patients With Chronic Low Back Pain

Annemarie Boer, Alisa L. Dutmer, Henrica R Schiphorst Preuper, Lucas H V van der Woude, Roy E. Stewart, Richard (Rick) Deyo, Michiel F. Reneman, Remko Soer

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Abstract

STUDY DESIGN.: Validation study with cross sectional and longitudinal measurements OBJECTIVE.: To translate the US National Institute of Health (NIH)-minimal dataset for clinical research on chronic low back pain into the Dutch language and to test its validity and reliability among people with chronic low back pain. SUMMARY OF BACKGROUND DATA.: The NIH developed a minimal dataset to encourage more complete and consistent reporting of clinical research and to be able to compare studies across countries in patients with low back pain. In the Netherlands, the NIH-minimal dataset has not been translated before and measurement properties are unknown. METHODS.: Cross cultural validity was tested by a formal forward-backward translation. Structural validity was tested with exploratory factor analyses (Comparative Fit Index (CFI), Tucker Lewis Index (TLI) and Root mean Square Error of Approximation (RMSEA)). Hypothesis testing was performed to compare subscales of the NIH dataset with the Pain Disability Index and the EurQol-5D (Pearson Correlation Coefficients). Internal consistency was tested with Cronbachʼs α and test-retest reliability at 2 weeks was calculated in a sub-sample of patients with Intraclass Correlation Coefficients (ICC) and Weighted Kappaʼs (κω). RESULTS.: In total, 452 patients were included of which 52 were included for the test-retest study. Validity: Factor analysis for structural validity pointed into the direction of a 7-factor model (Cronbachʼs α=0.78). Factors and total score of the NIH-minimal dataset showed fair to good correlations with PDI (r?=?0.43 to 0.70) and EQ5D (r?=?−0.41 to −0.64). Reliability: test-retest reliability per item showed substantial agreement (κω=0.65). Test-retest reliability per factor was moderate to good (ICC?=?0.71). CONCLUSION.: The Dutch Language version measurement properties of the NIH-minimal were satisfactory.Level of Evidence: N/A

Original languageEnglish (US)
JournalSpine
DOIs
Publication statusAccepted/In press - Feb 28 2017

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Clinical Neurology

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Boer, A., Dutmer, A. L., Preuper, H. R. S., van der Woude, L. H. V., Stewart, R. E., Deyo, R. R., ... Soer, R. (Accepted/In press). Measurement Properties of the NIH-minimal Dataset Dutch Language Version in Patients With Chronic Low Back Pain. Spine. https://doi.org/10.1097/BRS.0000000000002134